Model Release Form

Name

First

Last

Date of Birth

Residence Address

Town/City

State/Province/County

Country

Zip/Postal Code

Phone Number

Email

Guardian Name

* If Model is a minor or lacks capacity in the jurisdiction of residence, Guardian warrants and represents that Guardian is the legal guardian of Model and has the full legal capacity to consent to the Shoot and to execute this Model Release OF ALL RIGHTS IN MODEL’S CONTENT. If you are a Guardian signing in this capacity, please enter your details above and your name below.

View & Read Model Release

Checkboxes

* I agree to the terms and conditions of the model release

Signature

Clear

Date Signed

Voluntary information to be completed by Model: Requested for descriptive purposes only. Select all that apply.

I identify as:

Race/Ethnicity

Other:

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